重症急性胰腺炎螺旋CT分型在临床预后判断中的价值

The value of Spiral CT classification of severe acute pancreatitis in predicting prognosis

目的探讨重症急性胰腺炎螺旋CT分型方法,以便判断胰腺炎严重程度,有助于对重症患者及时有效的治疗和临床监测,防止某些并发症的发生。方法回顾性分析130例重症急性胰腺炎患者临床、CT资料,根据临床资料、螺旋CT表现分为A型、B型、C型。结果 130例重症急性胰腺炎患者中A型50例、B型47例、C型33例。A型患者局部和全身并发症少,住院时间短,手术及死亡例数为零;B型、C型患者局部和全身并发症较多,住院天数多、手术及死亡例数高。结论重症急性胰腺炎螺旋CT分型对判断胰腺炎严重程度有一定价值,有助于临床预后判断。

Objective Purpose the investigationof the methodsinSpiral CTclassificationof severe acute pancreatitis,in order to determine the Severity of pancreatitis,Critically ill patients would be treated Effectively and Clinical monitored,some Complication would be prevented. Methods Retrospective analysis of Clinical data and CT data for 130 cases of severe acute pancreatitis patients. In terms of clinical data,the types of Spiral CT is A,B and C. Results In 130 cases of severe acute pancreatitis patients,A is 50 cases,B is 47 cases,C is 33 cases. The number of Complication in Local and systemic of A patients is small,the time in hospital is short,the number of surgery and death is zero. The number of Complication in Local and systemic of B and A patients is large,the time in hospital is long,the number of surgery and death is large. Conclusion Spiral CT classification of severe acute pancreatitis could determine the Severity of pancreatitis,it helps in clinical Prognosis.